This course is no longer available

Latest User Comments

A lot of information in 1 hour. The speaker started to talk faster as the hour progressed, making it more difficult to follow.

Dr Dawn Metzger DVM (7 Dec 2018)

Poorly presented, not more than 10% clinically useful. Do not recommend.

Ms Courtney Olson (5 Dec 2018)

It was a lot of information in a short amount of time. It became very over whelming and the test questions felt impossible. It was very advanced for an informational presentation. I feel that it could use condensed content to get the information across better.

I would like to...

Course Availability

This course is only available to trainees days after purchase.
It would need to be repurchased by the trainee if not completed in the allotted time period.
This course is no longer available.
You will need to repurchase if you wish to take the course again.

Description

Intravenous fluids are drugs. Like any medication, the potential benefits should always be weighed in light of the possible adverse effects. It is important to realize that the clinical context of a given fluid therapy plan is key to its success or failure. A given fluid strategy that has been proven to benefit one clinical population may lead to increased morbidity in another. Subsequently, recommendations for fluid therapy should be tailored to a tightly defined clinical groups of patients and the stage of their disease process. It is for this reason that fluid prescription must be varied with regards to indications, contraindications and dose ranges based on the individual patient in order to decrease the associated adverse effects. This lecture will review the following:
1. Normal body fluid physiology
2. Critical illness and fluid homeostasis
3. Three major adverse effects of fluids
a. Acid-base derangements.
b. Acute kidney injury
c. Interstitial edema
Although there are many more potential adverse effects of fluid therapy, including thrombophlebitis, hypothermia, coagulopathy and embolism, these will not be discussed in detail in order to focus on the pathophysiology of the aforementioned effects.

Objectives

Understand normal body fluid physiology

Understand the compartmentalization of fluids in the body and the movement of fluids, electrolytes and macromolecules between compartments. Learn the modified Starling equation and the significance of the endothelial glycocalyx layer.

Understand the derangements in fluid homeostasis in critical illness

Learn the changes in fluid homeostasis secondary to many types of critical illness. Understand both the causes as well as the sequelae of these derangements.

Learn the link between fluid therapy and acute kidney injury

Understand how intravenous fluids can cause acute kidney injury and the causative mechanisms. Both unbalanced crystalloids and synthetic colloids will be the focus.

Understand the mechanism of acid-base derangements

Learn the potential acid-base derangements that can occur secondary to fluid therapy and how they might affect critically ill patients.

Learn how interstitial edema may result from fluid therapy

Understand how fluid therapy can precipitate interstitial edema and its significance in the pathophysiology of organ dysfunction in critically ill animals.

Faculty and Disclosures

Additional Contributors

Conflicts Declared

User Reviews(14)

A lot of information in 1 hour. The speaker started to talk faster as the hour progressed, making it more difficult to follow.

Dr Dawn Metzger DVM (7 Dec 2018)

Poorly presented, not more than 10% clinically useful. Do not recommend.

Ms Courtney Olson (5 Dec 2018)

It was a lot of information in a short amount of time. It became very over whelming and the test questions felt impossible. It was very advanced for an informational presentation. I feel that it could use condensed content to get the information across better.

bryan hall (27 Sep 2018)

If multiple people that the course is intended for can not pass the exam, it is a reflection of the either the presenter not teaching what they wanted to be tested or the exam not testing what was intended to be taught. Very frustrating. We are brighter than this. I did learn despite the test.

Mary Giles (24 Nov 2018)

Very very technical, which is good in a way, but it would be better if clinical relevance was emphasized more.

chris olortegui (24 Apr 2018)

very in depth lecture

liz stewart (22 Oct 2018)

good information but presented way to fast

Naomi Hansen (21 Jun 2018)

The course was quite informative but I found the questions at the end difficult to answer despite reviewing the course material on three occasions

Mary Ramirez (2 May 2018)

More technical than practical. Exam was extremely challenging. I watched the presentation 3 times and still couldn't pass the exam with a 70%

Dr Jacqueline Myers DVM (2 Dec 2018)

Wayyy too much detail for a GP.

(2 Dec 2018)

This course was really tough to follow. A lot of info presented very rapidly and the test was made more difficult by having multiple facts within each question.

Dr Kathryn Downie DVM (19 Jun 2018)

This course was a little over-technical in a biochem way. It was not as practical as I was hoping.

(18 Dec 2018)

The speaker spoke so fast it was hard to keep up with the lecture and the use of many acronyms made it difficult to follow.